Self-undermining policy feedback and the creation of National Health Insurance in Ghana

Wireko, Ishmael; Béland, Daniel; Kpessa-Whyte, Michael

doi:10.1093/heapol/czaa080

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…Throughout Ghana's development, healthcare delivery has been fraught with challenges including inadequate human resources and infrastructure [58]. With increasing healthcare demands in the post-independence era, and neo-colonial pressure from the BW institutions to meet the conditions of government financing assistance, Ghana implemented a user fee-driven health financing strategy called "cash-and-carry" [59,60].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

“…In some instances, all anticipated hospital fees required prepayment; otherwise, patients were sequestered in hospitals until fees were paid. In the early 2000s, the National Health Insurance Scheme was established to mitigate these costs, though patients continue making significant out-of-pocket payments for care [58,61,62]. Additionally, care delivery is complicated by poor infrastructural support and inadequacy of trained personnel, diagnostic tests, imaging and surveillance [63].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

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Historical determinants of neurosurgical inequities in Africa and the African diaspora: A review and analysis of coloniality

Barthélemy

Diouf

Silva

et al. 2023

PLOS Glob Public Health

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The movement to decolonize global health challenges clinicians and researchers of sub-disciplines, like global neurosurgery, to redefine their field. As an era of racial reckoning recentres the colonial roots of modern health disparities, reviewing the historical determinants of these disparities can constructively inform decolonization. This article presents a review and analysis of the historical determinants of neurosurgical inequities as understood by a group of scholars who share Sub-Saharan African descent. Vignettes profiling the colonial histories of Cape Verde, Rwanda, Cameroon, Ghana, Brazil, and Haiti illustrate the role of the colonial legacy in the currently unmet need for neurosurgical care in each of these nations. Following this review, a bibliographic lexical analysis of relevant terms then introduces a discussion of converging historical themes, and practical suggestions for transforming global neurosurgery through the decolonial humanism promulgated by anti-racist practices and the dialogic frameworks of conscientization.

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Section: Plos Global Public Healthmentioning

confidence: 99%

Section: Plos Global Public Healthmentioning

confidence: 99%

Historical determinants of neurosurgical inequities in Africa and the African diaspora: A review and analysis of coloniality

Barthélemy

Diouf

Silva

et al. 2023

PLOS Glob Public Health

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Universal Health Coverage with Private Options: The Politics of Turkey’s 2008 Health Reform

Dorlach,

Yeğen

2023

St Comp Int Dev

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Over the past decades, countries across the Global South have been adopting expansionary health reforms and are increasingly doing so under the banner of promoting universal health coverage. But countries have taken notably different approaches regarding the inclusion of private actors in their expanding healthcare systems. In this article, we explore the political causes and consequences of partial privatization in the context of healthcare expansion. We conduct a case study of Turkey’s 2008 health reform, which coupled substantial coverage expansion with the introduction of private options in provision and financing—and has since been branded as a global “success story” of achieving universal health coverage. Specifically, we seek to explain why Turkey introduced private options with its expansionary health reform and what kind of policy feedback effects this has triggered. We find that private options were incorporated into the reform as the result of persistent business lobbying and pro-market changes in the leadership of the health ministry and not because of any international coercion, e.g., by the World Bank. The introduction of these private options has since led to the growth of private hospital and insurance markets and the political entrenchment of partial privatization.

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Policy Feedback and the Politics of Teacher Trainee Allowance Reform in Ghana

2022

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Teacher trainee allowance, a statutory cash transfer support to persons training to become professional teachers in Ghana has been on the social policy reform agenda of successive governments. Notwithstanding the saliency of the policy in recent political campaigns, there is presently no original research that explains why the policy has been resistant to change. Drawing on historical institutionalist literature, this paper explains why attempts by successive governments to reform teacher trainee allowance in Ghana has been unsuccessful. The inability of policy makers to undertake planned reforms is puzzling because Africa is perceived as a place where policies are less resistant to change due to strong presidencies as well as the influential role of powerful and resourceful transnational actors. Drawing on insights from the literature on policy feedback, the paper analyzes the specific mechanisms that have reinforced the original institutional logic of the trainee allowance policy, and it shares ideas about options for endogenous path departing policy change.

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Self-undermining policy feedback and the creation of National Health Insurance in Ghana

Cited by 3 publications

References 26 publications

Historical determinants of neurosurgical inequities in Africa and the African diaspora: A review and analysis of coloniality

Historical determinants of neurosurgical inequities in Africa and the African diaspora: A review and analysis of coloniality

Universal Health Coverage with Private Options: The Politics of Turkey’s 2008 Health Reform

Policy Feedback and the Politics of Teacher Trainee Allowance Reform in Ghana

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